Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $5,754.40 / $13,803.84	Facility		$457.09	$5,754.40	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $741.31 / $2,041.74	Facility		$630.96	$741.31	$2,041.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $524.81 / $2,137.96	Facility		$302.00	$524.81	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $467.74 / $501.19	Facility		$398.11	$467.74	$501.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $331.13 / $1,230.27	Facility		$323.59	$331.13	$1,230.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $5,370.32 / $10,232.93	Facility		$3,630.78	$5,370.32	$10,232.93
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $6,025.60 / $10,715.19	Facility		$933.25	$6,025.60	$10,715.19